PROJECT BLUE BOOK

1. DATE - TIME GROUP

2. LOCATION

. NUMBER OF OBJECTS

. LENGTH OF OBSERVATION [11. BRI1E* SUMMARY AND ANALYSIS

TYPE OF OBSERVATION , a | .

*

9. PHYSICAL EVIDENCE

rer 3 avg | |Teabeing, Ohio Insuf data Shee}

FORM
FTO sep 43 0-329 (TDE) previous -<++e o mts form may be need.

_— oe eee —_

——_- -

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Page 5

25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):
| a. In the business section of a city?
a. Inside a building <b: tn ‘the residential section of-o-city?—
b. Inacar.. c. In open countryside?
e< Outdoors > d. Flying near an airfield?
d. In an airplane e. Flying over a city?
e. At sea f. Flying over open country?
A ee a are ae g. Other

27. What were you doing at the time you saw the object, and how did you happen to notice it?

ee ee ee

——_—— eee —_—-— -

28. IF you were MOVING IN AN AIITOMOBILE or other vehicle at the time, then complete the following questions:

23.1 What direction were you moving? (Circle One)

a. North «. East @. South g. West
b. Northeast 4. Southeast f. Southwest h. Northwest
28.2 How fost were you moving? —... oils per hour,

28.3 Did you stop at any time while you were looking of the object?
(Circle One) Yes No

ooo —- —

29. Wheat direction were you looking when you first saw the object? (Circle One)

af

a. North c. East e. South g. West

oc Nertheass/ d. Southeast f. Southwest h. Northwest

30. Whet direction were you looking when you last saw the object? (Circle One)

a. North c. East e. South g- West

br t d. Southeast » f Southwest h. Northwest
~~. — ARK 2aeN © ;

21. If you are familiar with bearing terms (ongular direction), try to estimate the number of degrees the object wes
from true North and also the number of degrees it was upward from the horizon (ei evation).

‘cen it tors? aspeorec:

a. From true North __« -____. degrees,
b. From horizon _.__..-* -___._ degrees.
an it disappeared

From true Morin | li _ degrees.

mm ew a me ee ee ee eS ee -rti“—t CC CUO COO OCC O--C*”
+
—+- -- a —————

i 7

Page 6

—

—— ee ema —_—< —r —— —

32. In the following sketch, imegine that you are at the point shown. Place an “A” on the curved line to show how
high the object wos above the horizon (skyline) when you first saw it. Place a “B” on the same curved line to
| show how high the object was above the horizon (skyline) when you /ast saw it.

|

—i. i, ea ia: anh

me -_o- _—_— = — j

33. In the following larger sketch pla:« on “A” at the position the object was when you first saw it, and a "B” at its

;
|
——— —— — —_
|
) position when you last saw it. Rafer to smaller sketch as an example of how to complete the larger sketch.

a ee ee

“od Jenene .

= ted =< eel SE ieee OE ee ee rr re een _

—— ——— ee eee ~ ~-2 + -o- ~ —_

34. What were the w ber conditions at (ne 6 me you saw the object?

34.1 CLOUDS (Circle One) 34.2 WIND (Circle One)

a. Clear sky > a. No wind

Wr Hazy ~  b, Slight breeze>
c. Scattered clouds “ec. Sirong wind

4d. Thick or heavy clouds d. Don't remember
e. Don't cr» -ember

; Circle One) 34.4 TEMPERATURE (Circle One!)
a. Cold

"
")

14.3 WEATHE|

=

a. Dry

bh. Fon. 7 _ light rain b. Co > |
a ,er eu. ve on
d. "Ow ‘. )
- tT) i : ay > Pon ? + 7
>. When did yOu report fo some of i; That you Pad sten the oble +?
s Day 4 _ ity Yo -
as anyone eise with you at the saw the object?
(Circle Ove) (es) ‘No
—"
16.1 1F you answered YES, |.) they see the cbjact too?
(Cirele One) ( Yes) No
76.) Please list their names «| ad lreasses:
cM TIES |
ee | |
’

"7. Was this the first time that you hed seen an object or objects like this?

‘Crrcle One) Chase

27.1 !F yeu answered NO, then when, where, and under what circumstances did you see other ones”

» |
Fa SN Se ssininnaetiamamememaens linia
eee a _ oeianaieen Scadincieaenianiatpeaiaiimn en . ve aemtiomnisatiaids
’
a = —— = : _ i
_— - ™ .
* s ~~ ¢ > — : -., +” .
7 sn wher do "2 ob.ect wos 3 whet mig ° - fF
: ‘

—

39. Do you think you can estimate the speed of the object?
(Circle One) Yes Ne
IF you answered YES, then what speed would you estimate?

(Circle One) C Van) No

Page 8

Awtu. $.4'h —_m.p.h.

ee ee Se ao 2

= A

40. Do you think you can estimate how far away from you the object was?

Je PIL &S

IF you answered YES, then how far away would you say it was? a feet.
pe _- —e- —_—_- - = en
41, Please give the following information about yourself:
—"- eae COC ~ Middle Name
DAY +s rj Oui #
—  —_—- aa
;
| Whar is your present job? __ BF ig rR GS FROM Se. linet antes ‘
Age eat ae Sex A . —
/
: Please indicate any special educ itional training that you have had.
) . Grade school So Technical school _—~ ~
EE ———E—— (Type) — Saiviitneabel
| c. College Sern y = —— f. Other special training ee eee

d. Post gradvete _...

a = —_— —_——<—— oe

| 42, Date you completed this questionnaire:

—_— —_——

———- +

Dey Month —

_— ee ee wee ee ewe -

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~ e~
} wor, Be a Form A
- a en ne -  e ——-- —_. ~—*

YU. S AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so that you can give the U. S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.

Please try to answer as many questions as you possibly can. The information that you give will
be used for resaerch purposes, and will be regarded as confidential material. Your name will nor
be used in connection with any statements, conclusions, or publications without your permission.
We request this personal information so that, if it is deemed necessary, we may contact you for

| further details.

Oe St ee — SS SSS SS eS SS ee
, a 0 Pe pe es |
1. When did you see the object? > | 2. Timeotday: u=H/.2.— : )

/ tour * Minutes

4 4 7 rd ‘i 4 -——
| — ua OC ee (Circle Ones AM Ow PM. |
| 3. Time zone: |
. (Circle One): a Eastern (Circle One): a, Daylight Saving |
b. Central b. Standard

¢. Mountain

5 |
¢d. beette
e

i A |
_———. — —-

4. Where were you when you saw fis object?

iN YARD OR ee ee ™ C7 ae
City or Town State or Country

Nearest Postal Addres;

——

¥ ’

Additions! remerks: _2. 2. i > 1BAY F wv) Lva@v: OD - (£0 pope
bis FADE A te peer. |
5. Estimate how long you saw the ooject. So arin us! | me |
! Hours Minutes Second :
ferasers ; rAd So Ants i
| |

5.1 Circle one of the following to indicate how certain you are of your answer to Question 5. |

Certain c. Not very sure
. Fairly certain d. Justo guess

—_—-

&. Wheat wes the condition of the sky?

-_ rw eek eee

(Circie One): a. Bright daylight d. Justo trace of daylight
b. Dull deylight “a, No race of daylight
Srignt twilight f Don't cemem der

— -— —o we

_—_ ——-_

oom - —_ ne
,

, ’ .
UN located as you looked ct

7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the

‘
’\

the obiect?

Page 2?

oan
| 8. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
A) A tow ; b. Dull moonlight
c. Many ‘CS No moonlight — pitch dark
d. Don’t remember d. Don’t remember
+-—- — ~ — ———— — —e
9. Was the object brighter than the background of the sky? E
|
| (Circle One): a./ves) b. No ¢. Don’t remember
10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile head! ight?: |

(Circle One) ‘@) A mile or more away (a distant car)?

b, Several blocks away?

c. Ablock away?

| d, Several yerds away? |
a ™ a —_ : _ " — Ss Other snannentenethnenesinereasiaeie-cehsien naninseamtieeRneNRiatepcenimneRAan anes —"
| 11, Did the object: (Circle One for each question)
a. Appear to stand still at any tine? Yes ? Don’t Know

b. Suddenly speed up and + +) sway ut any time? Yes Don’t Know

c. Breck up into ports of 45)! 1u! Yes No Don’t Know

d. Give off smoke? Yes BR Don’t Know

e. Change brightness? Yes (Noy Don’t Know

f, Change shape? Yes ( Ko Don't Know |
, g. Flicker, throb, or pulsar” Yes No! Don't Know
——— —__—. — ——__—_— $$ $$ _$______—
| 12. Did the object move behind sore’ ng at anytime, particularly a cloud?
| (Circle One): Yes (fi Don’t Know. IF you answered YES, then tell what |

EE SE a i Te ee sapeeiikieaestaieaiiet ah imeaieieniaciaedmmmaticiitbianatees

——— —

a

13. Did the object move in front of something at anytime, particularly a cloud?

(Circle One): Yes Ns Don't Know. IF you answered YES, than tell what
| it moved in front of: I NN eR Te A Ar si Ne ica
= - — -- ——_—_—_ — = —— eee
' : a .
14, Did the object appear: (Circle One): @. Solid? b. Transparent? en, Don’t Know. |

5. Did you ooserve the object through ony of the foliowing?

ed

a. Eyeglesses Yes No e. Binoculars Yes No
: ; ; , ; ’

b. Sun slasses Yes No f. Telescope Yes No

c. Windshieldy Yos No g. Theodolite Yes No

3iass Yes No a a cattccteenliniil

EST ;
lon uni t 4 ; Poge 3
—_——————__--—_-—___—_—_—_-- ---- —
16. Tell in a few words the following things > »out the object.
a. Sound pee CF OR oe ee Ce ee a —— ——
Se A eS ee

17. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place
an arrow beside the drawing to show the direction the object was moving.

ee

;
4
> <
‘- ~

—
18. The edges of the object were:
(Circle One): a, Fuzzy or blurred e. Other . a SS
. Like a’ me stars. , 2 a
c. Sharply «* ood Pie a Me tatles Ge Pek et
d. Don't remer oer -_—_—— -_ ——
en EE ————————

19. IF there was MORE THAN ONE onect, hia how many were there? __ (a
Draw a picture of how they were arranged, and put an arrow to show the direction that they were re weveli ing.

|
wh ai Aidivmers: |

an oe. > al -
Tudd mit = © la Ly ie a Fa «i @

>) Seas ——

i

—_— ——-

a
Se ee

20. Draw a picture that will show the nor:on rat the object or objects made. Place an “A” at the beginning |

eS eT ee EE EE

;
Page 4

of the path, a “B* at the end of the path and show any changes in direction during the course. |

ee

——

-_—— <—-«§

— -_

2]. IF POSSIBLE, try to quess or astimare whet the real size of the object was in its longest dimension.
_ feet.

-——_—
-_ - -——-2

oe ee - SS TT —_~

—— ——aBe-ee —- - -

22. How large did the object or objects appear as compared with one of the following objects held in the hand

and at about arm's length?
g. Silver dollar

(Circle One): @. Pert ot a pin
b, Pou h. Baseball
c¢, Dine i. Grapefruit
@. Niche! j. Basketball
ee k. Orher i
ff. Me oo. |

22.1 (Circle One of the following » ~i cate how certain you are of your answer to Question 22.

a. Certain c. Not very sure
b. Fowly certain d. Uncertain
ney She! ar ee ae ap, SRS ae eee |
23, How did the object or objects | «2mveor from view? — 2. > St |
| ai Et Lz 5 Se eee ae ee idiethineheiatenicien
; A TT —_——_— —_— —_— *
= aw

’

_——_— — ._.. =

24. In order that you con give os clear a p cture as possible of whet you saw, we would like for you to imagine that yeu could
construct the object thet you sew °°! ~«hat type meteriel would you moke it? How large would it be, and wher shape
would it hove? Describe in your own «274s a Eommon object or objects which when piaced up in the sky would give the

seme opoecrance es the ebject wiich ov sow.

(-——

‘

Poge 6

me

32. In the following sketch, imagine thet you are at the point shown. Place an “A” on the curved line to show how
high the object was above the horizon (sky ine) when you first saw it. Place a “B” on the same curved line to
show how high the object was above the ‘orizon (skyline) when you Jast saw it.

lahdaeapaniimapastaion netted eraenrninerncannasansacinaniagnanemmnmnesinamasel

33. In the following lerger sketch » » + 1» “A” at the position the object was when you first saw it, and a “B” at its
position when you lest saw it. 7s‘er to smaller sketch as an example of how to complete the larger sketch.

ae

—_——— =

Page 5

25. Where were you located when you saw ‘he object? 26. Were you (Circle One)

(Circle One):

i
a. In the business section of a city? |
¢. In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f. Flying over open country? '
g. Other

a. Inside a building
b. Ina car

~<¢. Outdoor >

d. In an airplane

e. At sea

27. What were you doing at the time you sew the object, and how did you happen to notice it? |
meg

-
-

|
: qirrtin’g —a J < — . _ “ : . : >)
)

ee

———_ —_ — TT

oo 7 -—--—-

———— a mm a a -- .
'
; - VL EEE eee SSS

| 23. IF you were MOVING IN AN © TOMO®ILE of other vehicle at the time, then complete the following questions:

’
:

|
'
28.1 What direction were you noving? (Circle One) |

| a. North East e. South g. West
b. Northeast i Southeast f. Southwest h. Northwest
28.2 How fast were you me. 6) miles per hour.

28.3 Did you stop at any time while you were looking at the object?
(Circle Om.) . Yas No

— _- eo - oor oh

_—

29. What direction were you icok -« «en +ou first sow the object? (Circle One)

a. North _ Seek e. South g- West
b. Northeast 'l~Southeast f. Southwest h. Northwest |

—_—

_ 30. What direction were you looking wnen you last saw the object? (Circle One)

——— —— oe
>

a. North 7 c. East e. South g. West.

| b. Northeast d. Southeast f. Southwest h. Northwest

! 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object wes
from true North and aiso the number of degrees it was upward from the horizon (elevation).

-_—— = _ —— —— eee

scan it tirst apoeeared

if

Gc. From true North. degrees.
degrees.

b From horizon.

ms

: , ; :
: 7
per i? dis@cpecreacd:.

*onraee
ou’ ws

rrom eve ivoart

Page /
34. What were the weather conditions ut *he time you saw the object? |
34,1 CLOUDS (Circle One) 34.2 WIND (Circle One) |
a. Clear "sky a. Nowind
b. Hazy b. Slight breeze -.
c. Scattered clouds ¢. Strong wind — '
d. Don’t remember |

d. Thick or heavy clouds
e. Don't remember

| 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
a. Dry a. Cold
| b. Fog, mist, or light rain b. Cool |
| c. Moderate or heavy rain c. Worm
4d. Snow d. Hot
e. Don't remember

e. Don’t remember

— ——_———_

—* oe

—— ee ee Ce a _

35. When did you repert to some alficia!l that you had seen the object?

—_——-— =~ ~-e—- — -- ee oe ee

Dey i Month Year

— * -_--— e-<

16. Was anyone else with you at the tie you sew the object? |

—_—_—- —— -—————

(Circle One) Yes No
| 36,1 IF you answered YES, § © \4y soe the object too?
(Circle One) : Yes No

36.2 Please list their \wesses: bape e
Ar equates: ----- 5 ear”

oe

— on

’
- - _

37. Was this the first time that yo. | 1 : een an object or objects like this?

(Circle One) (Yes No

37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

_—-— ~-—

— —_ —

ee ee

-_+- a ee eee eee ee

- er

ee )

;

— - . —

38. In your opinion what do you think the object was and what might have caused it?

‘ , : i

es Poge 8

reo eee —— me mee
, —we ae, |
39. Do you think you can estimate the soeec of she object?
aa i, |
Circle One) {( Yes Neo le
( SAMs AS - e 73°
IF you answered YES, then what speed would you estimate? 5 LEN SH! mph.
= alilinadsiabinie ; snaitaiainstinadess (itchiness mbes — sides nai -
40. Do you think you can estimate how far away from you the object was?
(Circle One) ¢ Yes) No
IF you answered YES, then how far away would you say it was? L div E tee.
— _ iad a a en — saint —e — ni on
| 41, Please give the tcllowing information about yourself:
co >= a ok jc siialiiaon ,
/ Last Name First Name Middle Name
| acorcss SQ eee i eesti
. Siree? City Zone State
|
| TELEPHONE NUMBER {Ji
wy DAT BR
What is your present job? ea Oar. ER Se Sf ee eT... sebenndbane
Age . , * re Sex ae
Please indicate any special educational training that you have had.
a. Grade school _____. rea i FARR MG, UNION OOM een

ION cisco ceil siieeemsiatdbase =

b. High school _.___.
) c. College __S27* 4) + 2. RADS f, Other special training

d. Post graduete Sa ae daitishananedine = r

=—-—--- e-—. -——

- a = eo

; ; 2 K Z aah =
42, Date you completed this questionnaire: 2 Vy _ & 5

— ee ee em

Pad 7 * is i 7; >
. Form A

-__—_e Cl SE —————eEEEEEe————E

U.S AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire hes been prepered so that you can give the U. S. Air Fores as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer os many questions os you possibly can. The information that you give will
be used for reseerch purposes, and will be regorded as confidential material. Your name will nor
be used in connection with any statements, conclusions, of publications without your permission.

We request this personal information so that, if it is deemed necessory, we may contact you for

further details,

2. Time of dey: £ » 7 2

1, When did you see the object?

——eeoeooeoeoeoeoese-- oe '

- ‘. , a

| : Fhrxty oF |
Re eee At SE. ee A '

A.A P.M, )

Day Months Year (Circle One): A.M, oe

ss ee ee ee

Ne ee

3. Time rore:

(Circle One! oy Enstern {(Circla Onek: o, Doylignt Seving
» Contral ° b. Stondard
c. Movuetein
t Poeitie )
'Y hee

4, Where were you when you ~~ ‘he object?

- ;
z — )) ) 24 ter iy
Outal Atdrose City or Town tote or Country

Neeres .
Additional remorks: —. yes —? La a i

7
7

!
i NS
5, Estimate how long you su~ «+ oorect, 1s 4h 3% | a

/ Fleurs Minutes Seconds

5.1 Circle one of the following te indicete hew certein you are of your answer to Question 5,

tain c. Ne? very sure |
» Fairly correin d. Just o guess

6, Whet wos the condition of the sky?

(Circle One): a, Bright deylight d. Just a trace of daylight
b. Dull! daylight £3) Mo troce of daylight
2. Srignt ewetignt * Jo) Semen ber

—

—--

saw the objset during DAYLIGHT, TWILIGHT, or DAWN, where wos the SUN located os you looked at

—_
1

. > Oneal: Ss. ln bran? >? you i, Ts

+ ~~. - * *
7s & - wd

eae ee ee ea + we —

Page ?

8. iF you saw the ovject at NIGHT, *WIL'GHT, or DAWN, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
Ce A few b. Dull moonlight
¢. Many “._-Ne moonlight — pitch dark
d. Don't remomber d. Don’t remember

—_ — ee

9, Was the object brighter than the background of the sky?

(Circle Ore): a. Yas b, No ¢c. Don’t remember

a

—-

-

| 10, IF it was BRIGHTER THAN the sky background, wos the brightness like that of an automobile headlight?:

(Circle One) , _A mile or more away (a distant car)?
b. Several blocks away?

c. Ablock away?
d. Several yards away?

EE Se Ee ee, aiid nil ante
11, Did the object: (Circle One for each question)
a. Appear to stond still at sev time? Yes No Don’t Know
b, Suddenly speed up and « «+» » vay at any time? Yer> No Don't Know
c. Breck up inte ports or +e te? Yes No Don't Know
d. Give off smoke? Yes fan) Don't Know
@. Change brightness? Yes eel’) Don’t Know
f, Change shape? Yes Safe =] Don’t Know
g. Flicker, throb, or pulsete’ Yes “N=> Don’t Know

—_
SCT LT —_—<————— -_ —

12. Did the object move behind sewerm-ng at anytime, particularly a cloud?

(Cirele One): Yes Ney) Don't Know. IF you answered YES, then tell what
| ee

(Cirele One): Yes “Ne Don't Know. IF you answered YES, than tell what
| ee ee

—_— -_-_--—_—- -_ —_ _—_——_———es— eee 1

i

’

’

| eee + ne eee a een rer SS swan eee eee ee esee_—oeeeee-
Shee = >
;

it moved in front of:

13. Did the object move in front of something ot anytime, perticularly a cloud?

—_—— +2 «

14, Did the chject appear: (Circle One): @ Solid? b. Transparent? c. Don't Knew.
RR A TT LT ———— OE ——= SS SS ee . -
15. Did you ooserve the object through any of the following? |
c. Eyegiasses ts No @. Bincculers Yes No ,
b. Sun giesses Yes No ‘., Telescopes Yes Ne
c. Windsnieide Yes No g. Theodolite Yes No
Yindow gloss Yos No (SE

17. Draw @ pleture thet will show the shape of the object or objects. Label and include in your sketch ony details
of the object thet you sow such as wings, protrusions, ete., and especially exhoust trails or vapor trails. Place |
an arrow beside the drawing to show the direction the object wes moving.

)=>

18. The edges of the object were: #3

(Circle One): uzsy or blurred Se |
Like @ he ight ster

¢. Sherply sw! med '

d. Don't reaaensur

-*-  —_—_—~

19. OF there wee MORE THAN ONE cbicst, thon how wany wore there? —
Drew « picture of how they were orrenged, and put on arrew te show the direction that they were trevel ing.

20. Drew a picture that will show the norton -hat the, object or objects made. Place an “A® at the beginning
of the path, a “B* at the end of the pate. and show any changes in direction dwing the course.

| 21. IF POSSIBLE, try to quess of estimate what the real size of the object wes in its longest dimension.
a feet,

— ——_—Le ee ae i me

22. How oo did the object or objects appear as compored with one of the following objects held in the hand

|
ond ot about orm's length?
(Circle One}: a. Head ofa pin g. Silver dollar

b. Pes h, Baseball
¢. Dine 1, Grapefruit
d. Nickel j. Baskerbell
@. Quarter k. Other

| f. bt, 4 ‘ollar

22.1 (Circle One of the following — »i'c ate how certain you ore of you answer te Question 22.

| De c. Not very sure

7 Fairly certain d. Uncertain

a ee ee ee eee ee oe 7
22, How did.the object or,objects J/esp0e0 from view? Aon 6 Shee tee tee

- J

- oom

24. In order that you con give es clea 1 »:-1:we 28 possible of whet you sew, we would like fer you to imagine the you could
conctruet the object thet yeu sew. Of «hot type meteriel weuld yeu meke it? Hew lerge would 't be, ond whet shepe
would it have? Deseribe in your oo+ - 4s @ sommen object or objects which when pleced vp in the shy wevid give the

same eppecrence os the object whieh ,eu sew,

“ .
%S

_o oe — —

25. Where were you located when you saw the object? 26. Were you (Circle Ona)
(Circle One):

a, In the business section of a city?
a, Inside a building cbeOIn the residential section of a city?
b. Ina car c. In open countryside?
-¢;_ Dutdeors d. Flying near an airfield?

d. In an cirplone e. Flying over a city?
e. At seo f, Flying over open country?
is AED -cllinestedinnesnidieniennciiinimemms g- Other

27. What were you doing or the time you sow the object, and how did you happen to notice it?

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complate the following questions:

28.1 What direction were you moving? (Circle One)

a. North c, East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest

23.2 How fast were you we so! _. miles per hour.

28.3 Did you stop at any tine while you were looking at the object? |
(Circle Ore) Yes No |

— -_ —_—

29. What direction were you loot :+> «sen vou first sow the object?~(Circ/s One)

a. North :. East ‘@. South g. West
b. Northeast 3. Southeest f. Southwest h. Northwest

30. What direction were you looking when you last sow the object? (Circle One)

East

31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North and also the number of degrees it wos upward from the horizon (2! evation).

——_

joer it ties? apceered:

c. From true North degrees.

>. From horizon... = cecrees.

v.
nit discppeared

raw jr » “ior rr ‘os

Poge 6

—_ eee rr eee ee —_- _——_——

| 32. In the following sketch, imagine th<t you ore at the point shown. Place an “A” on the curved line to show how

|

+ eee ee eee.

— ee eee

high the object wos above the horizon (s«y!ine) when you first saw it. Place a "B” on the same curved line to
show how high the object was chove the sor:zon (skyline) when you /ast saw it.

33. In the foliowing larger sketch » »- + » ‘A at the position the object was when you first sow it, and a “8” at its
position when you last sew it. meter to smaller sketch as an exemple of how to complete the lerger sketch.

———————a «

——s2e=—

bn een ee eee ee a ee 2

!

ee Ee eee
eee

Page 7

34, What were the weather conditions at the time you saw the object?

34,1 CLOUDS (Circle One) 34.2 WIND (Circle One)
a, Clear sky a. No wind
AY Hezy b, Slight breeze
¢. Scattered clouds ¢. Strong wind
d. Thick or heavy clouds d. Don’t remember
e. Don’t remember
34,3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
“@ Dry a. Cold
b. Fog, mist, of light rain b. Cool
¢. Moderate orheavy rain << Warm
d. Snow d. Hot

e. Don't remember

a ———— ao

e. Don't remember

fee + + we em 2

—— -_—- —

— em ee —_—

35. When did you rapor? to some official that you had seen the object?

eee eee -_—-—

Day ; Month Year

S eeeeeeiendtitendiendientinedtiti ee

-—— + re ma ee ee

———— mes _ - oo

36. Was anyone else with you at the time you saw the object?

(Circle One) Seas No
36.1 IF you answered YES, did they see the object too?
(Circle One) Lab Ne

36.2 Please list their names and addresses: F
at werk pagelalalpaos

> a
Ve ned Dri BOO ete”

Gi. otisteY tat Aine

Lj
37. Wes this the firs? time thet you hed seen an object or objects like this?

(Circle One) Yas” No

37,1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

—_— ————_— — —-

12.» your opinion whet co you think the obiect was and what night cave caused or?

cme 2. at4LaA Ze

en , ' .

ee

Poge 8

39. Do you think you con estimate the speed of the object?
(Circle One) Yes No
| IF you answered YES, then what speed would you estimate? Zo © mph.

| 40. Do you think you can estimate how far away from you the object was?

) (Circle One) Yes No
| IF you onswered YES, then how far away would you say it was? awl ©4862

A LT —_————_—- --eoo- so

< feet.

41, Please give the following information about yourself:

| EEE = _
L ost Name — fiegt None S—S—~™S

+ 7 fi od - -*
treat ity Zone State

Middie Nome

What is your present lob? #3 tut L
a “a

Please indicate any special educational training that you heave hed.

a. Grade school e. e. Technical school
ee (Type)

c. College __ 4S CCséS, Other speci! training

d. Post graduate

—-ee- =e oe oS

42, Dete you completed this questionnaire:

-~ — —2--

-=- ~~ +m ewe- - —— — _—--—— — +

PAGE TuO >

INFO AGRESS WITH THAT OF FIRST O3SR O55 !

ALL OTHER

APPROX 2245 HR 3 AUG 53 AND OBSR 22 TO 33 *

Y/I AUTO OBSR REMAINED IN AUTO BUT OPENED DooRS FOR EETT

AUTO PARKED ON BELLEROGOK PIKE APPROX NIDWAY INDIAN RIFFL!
D ST BRIDGES CEM FIRST CESR REPT OBUS APPR ONE WY

1 OF AUTO APPROX 13, ST ALT SECOND O8SR REPT APPROX

BETUEEN 2£4,999°25,239 FT ALT OSUS SEEMED TO DISAPPEAR

TREBEING ONIO NO REASON TO DOUBT VERACITY REPT AS CIVEN
MOONLIGHT LITTLE @IND

DESCENT AT SITE OF NTN
SECOND OBSR REPT IT AS PARTICLE OF LIGHT THAT SEPARATED

1 OBJ ASSUME STRAIG

= re ~- * Sor an eT we <P Per
FT 3T JSSn nae s POSS od bootie S100, 4.4%

PuY EVIDENCE NO INTCP OR IDENTIFICATION ACTION POSSIBLE
TRAFFIC SEEN AT‘ANY TIME DURING PD SIGHTING CCCURRED 3 AUC §&
NOT REPT UNTIL 4 AUG 53 ACCT DELAY THIS REPT

7S/28417 AUC JEDON

HORIZ CRSE AND GRADUAL FADING NO =X

~~ “ — én : 2
STAR ORTG
4 s the ~)

JBJS AND DISAPPEAR APPROX S23 FT FROM

FROM

STANCE OF

MO AIR

al mek it~

al = _ =

—- PO ee

ae UNCLASSIFIED

AF FORM M2—PART It ——asaneares —
AIR INTELLIGENCE INFORMATION REPORT

REPORT NO.

FROM (.dgeney)

Gentile Air Fores Depot

Wilmington Pike, Dayton 10,

Read and I noticed vhat

appeared to be two aoe close together and I asked her @Qggggllen)

if she ever saw two stars iike that ami we stopred the car. © sat

ami watebed it probably five mimuites and it started moving. it vas

etill bigh im the air, I would estinate eight or ten theusand feet in

the alr. Jt mewed towards the car ami then directly cver it. it had cme
bright concentrated light, blindizg li-ht shining straight dow ani then
{t+ made a cirele to the ieft away from ws and veered orf in a northeast
Girectione It teok about 15 minutes for it to make a commlete circle

azal it disappeared somewhere over Trebein, ‘They turmed the lights out of
whatever it vas and it [ust went out.

have never seen anything else of an umsual nature, This thing

'S make any moise, =< looked for identification lights on the object,
reek auueae aah & ceubd”s Ge cantbins The light was so concentrated,
in one like a spotlight. There wre two

SERS. Fe ee te ce oe ea ace

the
Coe was brighter than the other

ef b4

d

if

Ty
iy
f
B
B
"
Be

. | -OWNGRADED 4
DECLASSIFIFD Arron ae 9 YER ty ah

: <
: DOD © ip 52 ri)

ee —SaS EE _
AIR INTELLIGENCE INFORMATION REPORT
"CSH¥T%b Air Force a

Depot
ee

Statement oft ee Supply and Services, Gentile AF Depot
Chic

Se eee a ee ee ae te te ne
on the Bellixook I eaw this object. we turned the corner and went on
three or four miles before we stopped. it looked like something chlong,

the back part was green, the front was the color of a star, real bright.
I stopped the car andwatched and it got real bright then. it was kind of

jim then it got real bright, it hurt your eyes. I. {ust saw one ‘hbiect,
sitting stili, for arcut 20 minutes all tolac. I don't knew how iong it

had been there before I noticed it. When it started to acoving away it
started off real slow and it left a trail behind it as it meved. Tt kind

of veered off in a gradual circle, and just faded away. I suppose it was
getting so far away you couldn't see it any more. There was nothing else

in the sky but the stars and the moon. it was about three or four miles
high. it seemed to move off on the side in a northeasterly direction.

i have never noticed any such objects before.

VOWNGRADED AT 3 YEAR INTERVALS:
DECLASSIFIED AFTER 12 YEARS
DOD DIR 520019 7

_——_— — — ee & om -

SESS S42 Ps aes 8S

Form A

U CE TECHNICAL INFORMATION SHEET

avr 2 ge Arr &

This questionnaire has been prepared so that you can give the U. S. Air Force os much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many avestions os you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential material. Your name will not
be used in connection with any statements, conclusions, or publications without your permission.
We requast this personal information so that, if it is deemed necessary, we may contact you for

further details.

Ss eet ee ee eee eee oS ae eee
'

When did you se the object? 2. Time of day: — J ot
hour Minutes

“ Month ir ~~ (Circle One): ALM, or P.M

(Cirele One): a. astern (Circle One}: a. Daylight Saving
b. Centro! b. Stendard

- eh) +7

_— ell —_—_— — = -

4, Where were you when you sew tiie object?

7 a "! ° e, .
sores? Posts ees City or Town State or Country

-

; feseg e < : = - ud } / — —
Additione! remarks: — ft! ct aa he * $ = TM 8 a on
’ ee a : ’ 4, ; ; : * en) ; 4 . -
: —_ ——- _ ; _ -
Hours Minutes Seconds - |
S Srswrivs FO oT nar

5.1 Cirele one of the following *¢ indicete how certain you are of your answer to Question 5.

~ | Certain) c. Not very sure

b y certain d. Just a guess

_ — ——— ———_————a ae —s

__ —_—- — _ a

5. Whot was the condition of the sky?

Corcle Onel: a. Bright deylignt d. Just a trace of day!ight
deylignre ». No rece of day!i che.
» Bright twilight i, Don't remember
2 Oo) ec? aur wy DAYLIGHT Twi CHT, ur DAWN, were was "he SUN loce ea os you looked

_ — - — oe -—.— - es — =

 —— —— =

Page 2?

a ee eee

a ee a ee
8. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. No moonlight — pitch dark
d. Don't remember oe “8, Don’ t remember 2

eae —_ = — —_—_——_—- eee a |

= + —

9, Was the object brighter than the background of the sky?

——

(Circle One): qe. Yes” b. No ¢. Don’t remember
ins RE - - eeu 4
| 10, 1F it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?:
| (Circle One) a. A mile or more away (a distant car)? ‘ , . .
b. Several blocks away? dic bia gs ahaa |
c. Ablock away?
| d. Several yards away?
| i male — Oe ———e is _|
11, Did the object: (Circle One for each question)
c. Appear to stand still at any time? Yes ‘No> Don’t Know
b. Suddenly speed up and rush away at any time? Yes <Ne, Don’t Know
¢. Break up into parts or explode? Yes We Don’t Know
. Give off smoke? Yes <No> Don't Know
. Chenge brightness? Yes No» Don't Know
f. Change shape? Yes NS Don't Know
g. Flicker, throb, or pulsate? Yes — No Don’t Know
12. Did the object move behind someihing at anytime, particularly a cloud? |
| (Circle One):  CY¥es) Ne Don’t Know. IF you answered YES, then tell what
ib moved behinds ia 10 me $22 se 258e raaveD

' ——

13. Did the object move in front of something at anytime, particularly o cloud?

!
(Circle One): Yes (Ne ~ Don’t Know. IF you answered YES, than tell what
: .

_—
en

14. Did the obiect appear: (Circle One): a, Solid? b. Transperent? e. Don’t Know.

—— ———

- -_—- ©. +. oer +m ee we =

— — -

iS. Did you observe the iene through any of the following?

a. Eyeglasses Yes No e. Binoculars Yes No

b. Sun Gresees Yss No f. Telescope Yes No

c ield® Yes No g. Theodolite Yes No
ade slass (es No h. Other ; ih as

OE

4 : Pege 3
RR eR EU a ih eR a en ==

| 16. Tell in a few words the foliowing things about the object.
a. Sound

NON Fe
0 NESS Se i as a

17. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, ete., and especia!!y exhaust trails or vapor trails. Place
an arrow beside the drawing to show the direction the object wes moving.

ee wee ee

: <..
' yf
’ '
: |
: :
| |
|
“peg “hee “Renner Ee ee wee ee —_—— _
18. The edges of the object were: “|
(Cirele One): a. Fuzzy o blurred De UNE ie cite nthinetstnctiaai initia
b. Like a bright star Saig¢rerh “\ Laren Tuts SAALL, TW ANG 7
c. Sharply outlimed

| d. Don't remember

ee ee eee

nn “wena ae ae
| 19. IF there wos MORE THAN ONE object, then how many were there? UK
) Draw a picture of how they were arranged, and put an arrow to show the direction that they were travel ing.

:
’
’
’
:
:

|

ee ee ae

fe TE oe een eee ——_— — i —-

Page 4.

20. Draw a picture that will show the motion that the object or objects made. Place an “A® at the beginning
of the path, c “B” at the end of the path, and show any changes in direction during the course.

eu?

*

os A

~

Pat FROME NE sun 6 $e sevre KEP
. 1 (2. © O Ae KATO whit Rifended se. ee eel ~r- Be

i i) 1g 20 ft

iar = T

TORS ae ee

_

21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension.
ae  —————

—_

~ —_— eee ee

- -~ -_—_ —

22. How large did the object or objects appear as compared with one of the following objects held in the hend

‘se

and at about arm's length? ei Sas Iu4

(Circle One): a. Head of a pin g. Silver dollar
b. Pea h. Baseball
c. Dine i. Gropefruit
d. Nickel j. Basketball
@. Wvuarter a
Ff. bial folla !

22.1 (Circle One of the following 'o | dicate how certain you are of your answer to Question 22.

@. Certain c. Not very sure j

b. Fairly certain d. Uncertain

—— | ~- -

23. How did the object or objects disuppear from view? _S” "PED 5 see WD p+ 7B 5
et 28 ee

——-

——- _--

-——_——-- -—

SOOO ——-——™ —

24. In order that you con give as clear 9 picture as possible of whet you saw, we would like for you to imagine thet you could
construct the object thet yeu saw. Of what type material would you make it? How large would it be, and what shape
would it hove? Describe in your own words a éommon object or objects which when placed up in the sky would give the

seme cppecrsnce as the ebject which you sow.

-

AES HH OS en